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The Structural and Social Determinants of Reproductive Behavioural Health 生殖行为健康的结构和社会决定因素
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v6i03.006
Jayita Ghoshal Roy, Swastika Roy
Reproductive health plays a crucial role to maintain a healthy status of an individual. Hence, it is a vital part that an individual has to keep in mind. The term “Reproductive Rights and Reproductive History” was coined in the “International Conference on Population and Development (ICPD)” held in 1994, and the term “Reproductive Health” was connoted as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes”. Collected detailed on reproductive behaviour of an individual now known as “Reproductive history”; is defined as “An important aggregate factor in epidemiological studies of women’s health. The concept usually includes the number and timing of pregnancies and their outcomes, the incidence of breast feeding, and may include age of menarche and menopause, regularity of menstruation, fertility, gynaecological or obstetric problems, or contraceptive usage.” Researchers, epidemiologists, along with medical personnel have chronicled their findings and voiced their concerns in maternal and reproductive health in various platforms at national and international levels. Some of these papers are focused on this topic. In the present discussion an attempt has been made to evaluate the role of structural and social determinants on reproductive health. The systematic analysis might help to pinpoint the populations that seem to be lacking in awareness of the importance of this vital but often ignored part of health and thus there is a lag in the reproductive health services.
生殖健康对保持个人健康状态起着至关重要的作用。因此,这是一个人必须记住的重要部分。“生殖权利和生殖史”一词是在1994年举行的“国际人口与发展会议(人发会议)”上创造的,“生殖健康”一词的含义是“在与生殖系统及其功能和过程有关的一切事项上,身体、精神和社会完全健康的状态,而不仅仅是没有疾病或虚弱”。收集个人生殖行为的详细资料,现在称为“生殖史”;被定义为"妇女健康流行病学研究中的一个重要综合因素。这一概念通常包括怀孕的次数和时间及其结果、母乳喂养的发生率,并可能包括月经初潮和更年期的年龄、月经规律、生育能力、妇科或产科问题或避孕药具的使用。”研究人员、流行病学家以及医务人员记录了他们的调查结果,并在国家和国际各级的各种平台上表达了他们对孕产妇和生殖健康的关切。其中一些论文集中在这个主题上。在本次讨论中,试图评价结构和社会决定因素对生殖健康的作用。系统的分析可能有助于查明似乎对这一至关重要但往往被忽视的健康部分的重要性缺乏认识的人口,从而在生殖健康服务方面存在滞后。
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引用次数: 1
RIGHT SIDED INFECTIVE ENDOCARDITIS MASQUERADING AS PULMONARY TUBERCULOSIS: A CASE REPORT 伪装成肺结核的右侧感染性心内膜炎1例
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i01.004
A. Abdul Hadi, Khairun’naim Bin Khairuddin, Mohd Nizamuddin Bin Ismail
Right-sided infective endocarditis is not as common as left-sided infective endocarditis. The clinical signs and symptoms of right-sided infective endocarditis are subtle, making clinical detection more complex and easily leads to misdiagnosis. We present a case of mild haemoptysis as a presentation of right-sided infective endocarditis but was initially misdiagnosed as pulmonary tuberculosis, which led to a delay in treatment. The patient had multiple visits to the health facilities (private clinic, government’s health clinic and hospital) and one admission to the hospital for recurrent cough, fever, and haemoptysis without any improvement. Later, he was diagnosed with right-sided infective endocarditis and was well after treatment. Delays in treatment can lead to an increased risk of permanent morbidity to the patient.This case report highlights the importance of a high index of suspicion and exploring other differential diagnoses of haemoptysis apart from pulmonary tuberculosis.
右侧感染性心内膜炎不像左侧感染性心内膜炎那么常见。右侧感染性心内膜炎的临床体征和症状不易察觉,使临床检测更加复杂,容易导致误诊。我们提出一个病例轻微咯血的表现为右侧感染性心内膜炎,但最初被误诊为肺结核,导致延误治疗。该患者多次前往卫生设施(私人诊所、政府诊所和医院)就诊,并因反复咳嗽、发烧和咯血入院一次,但没有任何好转。后来,他被诊断为右侧感染性心内膜炎,经治疗后恢复良好。治疗延误可导致患者永久发病的风险增加。本病例报告强调了高度怀疑的重要性,并探讨了除肺结核外咯血的其他鉴别诊断。
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引用次数: 0
Analysis of The Situation of Undernutrition and Malnutrition on Toddlers 幼儿营养不良及营养不良状况分析
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v6i03.001
Mamik Ratnawati, Monika Sawitri Prihatini, R. Probowati, R. Lestari, D. Puspitaningsih
Children under five years are vulnerable to health and nutrition problems. The first two years period of life is a critical phase because of the growth and development of the children during this period. The purpose of this study is to analyze the situation of malnutrition in toddlers in nutritionally vulnerable districts. This study is a descriptive study using a cross-sectional approach. There are 10 respondents from Puton Village, Diwek District, and Jombang Regency as the samples of the study. The data was collected from August until September 6, 2019. The samples were collected by using a total sampling method. The dependent variables in this study are nutritional knowledge, infectious disease, and eating habits. Meanwhile, the independent variables are undernutrition and malnutrition. The data were analyzed using Chi-Square. The results of the study showed that the most influential factors in the occurrence of undernutrition and malnutrition were almost entirely (76%) influenced by eating habits, very few (15%) influenced by nutritional knowledge, and very little (9%) influenced by infectious diseases. Problem-solving in nutrition programs must be developed innovatively at the regency level with indirect intervention at the regency level, through strengthening the health and nutrition system by involving the community, local government, and related sectors.
5岁以下儿童易受健康和营养问题的影响。生命的头两年是一个关键的阶段,因为孩子在这一时期的成长和发展。本研究的目的是分析营养脆弱地区幼儿的营养不良状况。本研究是一项采用横断面方法的描述性研究。调查对象为普敦村、迪维克区和钟邦县共10人。数据收集于2019年8月至9月6日。样品采用全抽样法采集。本研究的因变量为营养知识、传染病和饮食习惯。同时,自变量为营养不良和营养不良。数据采用卡方分析。研究结果表明,营养不足和营养不良发生的最主要影响因素几乎全部(76%)受饮食习惯的影响,受营养知识的影响很少(15%),受传染病的影响很少(9%)。解决营养问题的方案必须在摄政层面创新地发展,在摄政层面进行间接干预,通过社区、地方政府和相关部门的参与来加强健康和营养系统。
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引用次数: 0
SPHENOID BONE DYSPLASIA-A CASE OF UNRESOLVED HEADACHE IN PRIMARY CARE 蝶骨发育不良-一例未解决的头痛在初级保健
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i01.002
A. Said, Tg Putri Syarizan
Headache is a very common presenting symptom in patients seeking treatment in primary care. Although most of it is primary headache, physicians may easily miss the diagnosis of secondary headache. Therefore, we need to equip ourselves with adequate knowledge together with a good and thorough physical examination to avoid missing a diagnosis of secondary headache. In addition to that, for a patient presenting with chronic headache, it is very important for us to always review our diagnosis and our management. We reported a case of sphenoid bone fibrous dysplasia who presented with severe recurrent headache despite being given treatment, analgesics and even propranolol for migraine. Fibrous dysplasia accounts for approximately 5 to 7 percent of benign bone tumours. He presented to the primary care clinic multiple times before the imaging was ordered. Subsequent MRI showed fibrous dysplasia of the right lesser wing of the sphenoid bone. After the surgery, the headache improved as well as his quality of life.
在寻求初级保健治疗的患者中,头痛是一个非常常见的症状。虽然大多数是原发性头痛,但医生很容易错过继发性头痛的诊断。因此,我们需要掌握足够的知识,并进行良好而彻底的体检,以免错过继发性头痛的诊断。除此之外,对于患有慢性头痛的患者,我们总是回顾我们的诊断和治疗是非常重要的。我们报告了一例蝶骨纤维发育不良患者,尽管给予治疗,止痛药甚至心得安治疗偏头痛,但仍出现严重的复发性头痛。纤维结构不良约占良性骨肿瘤的5%至7%。在要求进行影像学检查之前,他曾多次到初级保健诊所就诊。随后的MRI显示蝶骨右小翼纤维性发育不良。手术后,头痛得到了改善,他的生活质量也得到了改善。
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引用次数: 0
Community Readiness of Surabaya, Indonesia to Face Acute Hepatitis in Children 印度尼西亚泗水社区应对儿童急性肝炎的准备情况
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i04.002
Nisha Dharmayanti Rinarto, A. Mayasari, Hafizah Che Hassan
(WHO) reported the incidence of 'mysterious' acute hepatitis that attacked children in various countries on April 5, 2022. This incident happened to previously healthy children, with ages ranging from 11 months to 5 years. The Ministry of Health of Indonesia has reported the findings of three suspected cases of death due to acute hepatitis in the two weeks until April 30, 2022. As a precaution, the public is expected to know the cause of acute hepatitis that attacks children, recognize the symptoms, and know the steps to prevent and treat it. The design of this study used a qualitative descriptive study intending to provide an overview of the preparedness of the people in Surabaya to face acute hepatitis in children. The population of people of Surabaya who have children aged 0 months -16 years with the Accidental Sampling approach. The samples collected were 104 respondents who met the inclusion criteria. Data collection was carried out for 5 days from 16-20 May 2022 by filling out a knowledge questionnaire. Results showed that 89.4% of people of Surabaya knew the causes, symptoms, prevention, and treatment steps. Based on these data, it is stated that many people in Surabaya already know the causes, symptoms, prevention, and treatment steps. It can be concluded that they have the readiness to face acute hepatitis that attacks children. In addition to knowing and being ready, it is hoped that the community will be able to understand and implement maximum prevention measures so that acute hepatitis in children occurs in the Surabaya area.
(世卫组织)报告了2022年4月5日在多个国家袭击儿童的“神秘”急性肝炎的发病率。这一事件发生在以前健康的儿童身上,年龄从11个月到5岁不等。印度尼西亚卫生部报告了在截至2022年4月30日的两周内发现的三例急性肝炎疑似死亡病例。作为预防措施,公众应了解儿童急性肝炎的病因,认识其症状,并了解预防和治疗的步骤。本研究的设计采用定性描述性研究,旨在概述泗水人民面对儿童急性肝炎的准备情况。采用随机抽样方法对泗水市0个月至16岁儿童的人口进行调查。收集的样本是104名符合纳入标准的受访者。通过填写知识问卷,从2022年5月16日至20日进行了为期5天的数据收集。结果显示,泗水89.4%的人知道病因、症状、预防和治疗步骤。根据这些数据,泗水的许多人已经知道原因、症状、预防和治疗步骤。可以得出结论,他们已经准备好面对袭击儿童的急性肝炎。除了了解和做好准备之外,希望社区能够了解并实施最大程度的预防措施,以便泗水地区的儿童发生急性肝炎。
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引用次数: 0
COMMUNITY ENGAGEMENT AND ASSOCIATED FACTORS FOR THE COVID-19 VACCINATION AT THE WORK AREA OF BATANG KUIS PUBLIC HEALTH CENTER, INDONESIA 印度尼西亚batang kuis公共卫生中心工作区域COVID-19疫苗接种的社区参与及其相关因素
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i01.005
Muchti Yuda Pratama, I. Yustina, Etti Sudaryati, Nurmaini
Introduction: In Indonesia, the prevalence of COVID-19 is getting higher, North Sumatera Province ranks the 12th most COVID-19 cases in Indonesia with a total of 33.762 cases. WHO encourages countries to develop COVID-19 vaccine. However, currently many people have not been engaged in implementing the COVID-19 vaccination. Based on data, the achievement of vaccination in Indonesia is only 13,5%. Of the preliminary survey found that only 38,5% of people aged 18 years old and more had COVID-19 vaccination. Methods: The research method was a quantitative study with a cross sectional research design. The sample was 114 respondents that were selected by systematic random sampling technique. Data was collected through interview by using a questionnaire and data was analyzed using by logistic regression approach. Result: The percentage of COVID-19 vaccination was still low. Factors that related to community engagement for COVID-19 vaccination were age, knowledge, education level, occupation, and marital status. From the results of the logistic regression test, it was found that knowledge and education level were contributed to community engagement for the COVID-19 vaccination (p< 0.05). Conclusion: The percentage of COVID-19 vaccination in the community was still low and this was related to education and knowledge. Therefore, health promotion regarding COVID-19 prevention and the vaccination is necessary, and should be intensified to improve knowledge and practice of community.
在印度尼西亚,新冠肺炎的流行率越来越高,北苏门答腊省以33762例位居全国第12位。世卫组织鼓励各国开发COVID-19疫苗。然而,目前仍有许多人没有参与到COVID-19疫苗接种的实施中。根据数据,印度尼西亚的疫苗接种成功率仅为13.5%。初步调查发现,18岁及以上的人中只有38.5%接种了COVID-19疫苗。方法:采用横断面研究设计的定量研究方法。采用系统随机抽样法抽取114名调查对象。采用问卷访谈法收集资料,采用logistic回归法分析数据。结果:新冠肺炎疫苗接种率仍较低。与社区参与COVID-19疫苗接种相关的因素有年龄、知识、教育程度、职业和婚姻状况。从logistic回归检验结果来看,知识和教育水平对社区参与COVID-19疫苗接种有影响(p< 0.05)。结论:社区COVID-19疫苗接种率仍然较低,这与教育和知识有关。因此,有必要加强COVID-19预防和疫苗接种的健康宣传,提高社区的知识和实践。
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引用次数: 0
ITCHY LEAVES (LAPORTEA DECUMANA (ROXB.) WEDD ) SIMPLICIA LOOSE POWDER 叶子发痒(laportea decumana)散粉
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i01.003
E. Simaremare, Charisma D. N. Putri, Rani D. Pratiwi, E. Gunawan
Itchy leaf [Laportea decumana (Roxb.) Wedd] is one of the endemic plants of Papua that has proven as pain and fatigue. This study aimed to formulate an itchy leaf powder and determine the physical quality of the powder then skin irritation test on itchy leaf powder (L.decumana). The methods used in this study were collecting the sample, preparing simplicia in three formulas, formulating the powder, testing the physical quality, and testing the skin irritation by the four-hour patch method. The results of the study showed that itchy leaf powder had an FI strength (99.03%), FII (99.0%), FIII (98.47%) with FI moisture (1.21%), FII (1.35%), FIII (1.42%), and pH FI (5.98), FII (6.10), FIII (6.22). This study concluded that itchy leaf powder had a good physical quality and was not irritated to human skin that characterized by the absence of edema and erythema in thirty volunteers.
发痒的叶子[紫菜]是巴布亚岛的一种特有植物,它被证明具有疼痛和疲劳的作用。本研究的目的是制备一种发痒叶粉,测定其物理质量,并对发痒叶粉进行皮肤刺激试验。本研究采用的方法为:采集样品、制备三种配方、制粉、检测物理质量、4小时贴片法检测皮肤刺激性。结果表明,发痒叶粉具有FI强度(99.03%)、FII(99.0%)、FIII(98.47%)、FI水分(1.21%)、FII(1.35%)、FIII(1.42%)和pH(5.98)、FII(6.10)、FIII(6.22)。本研究表明,发痒叶粉具有良好的物理质量,对人体皮肤无刺激性,在30名志愿者中没有水肿和红斑。
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引用次数: 0
The Effectiveness of Brain Gym on The Cognitive Abilities of Children at Tk Aba 17 Palembang, Indonesia 脑健身房对印尼巨港市Tk Aba 17儿童认知能力的影响
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i02.002
Renda Natalina Pratama, C. Purwanti, Rosmiarti, T. Sansuwito, Faridah Binti Mohd Said
Early childhood cognitive development is the child's ability to understand something in the environment so that their knowledge will increase. This is closely related to brain control, so that children's cognitive development requires brain stimulation efforts. Stimulation is needed to improve children's development. Children who receive targeted and regular stimulation develop faster than children who do not receive stimulation. Brain Gym is a healthy natural alternative effort that includes a series of simple movements that can optimise human brain function so that a person can face various kinds of learning difficulties, tensions, and challenges to oneself and others. The purpose of this study was to determine the effectiveness of brain exercise in improving children's cognitive abilities. This research method is quasi-experimental and uses the chi-squared statistical test. The research sample consisted of 28 respondents, consisting of the treatment group and the control group. The results of statistical tests using the Chi Square test obtained 0.05 (0.018), which means that brain exercise is effective in improving children's cognitive abilities. So it is suggested that brain exercise can be applied to children so that learning becomes fun and improves their abilities.
幼儿期的认知发展是指孩子在环境中理解事物的能力,从而使他们的知识得到增长。这与大脑控制密切相关,因此儿童的认知发展需要大脑刺激的努力。促进儿童的发展需要刺激。接受有针对性和有规律的刺激的儿童比没有接受刺激的儿童发展得更快。大脑健身房是一种健康自然的替代努力,包括一系列简单的运动,可以优化人类的大脑功能,这样一个人就可以面对各种各样的学习困难,紧张,挑战自己和他人。这项研究的目的是确定大脑锻炼在提高儿童认知能力方面的有效性。本研究采用准实验方法,采用卡方统计检验。研究样本共28人,分为治疗组和对照组。采用卡方检验的统计检验结果为0.05(0.018),说明大脑锻炼对儿童认知能力的提高是有效的。因此,有人建议,大脑锻炼可以应用于儿童,使学习变得有趣,提高他们的能力。
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引用次数: 0
Seizure as Initial Presentation of HIV: A Case Report of Cerebral Toxoplasmosis 癫痫是HIV的初始表现:脑弓形体病1例报告
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v06i02.001
Siti Ruziana Roslan, A. Abdul Hadi
This paper reports a case of a previously healthy patient who presented with a generalised tonic-clonic seizure due to cerebral edema. Investigations revealed he had human Deficiency Virus (HIV) with cerebral toxoplasmosis and was co-infected with Hepatitis C. He was immediately placed on a toxoplasmosis treatment regime which, 4 weeks later, showed improvement in his clinical condition and computed tomography (CT) brain imaging. He was then put on antiretroviral therapy (ART). This case describes the management of a patient with newly diagnosed HIV with opportunistic and co-infections.
这篇论文报告了一个病例以前健康的病人谁提出了全身性强直阵挛发作由于脑水肿。调查显示,他患有人类缺陷病毒(HIV)和脑弓形虫病,并合并感染丙型肝炎。他立即接受弓形虫病治疗,4周后,他的临床状况和计算机断层扫描(CT)脑成像得到改善。随后,他接受了抗逆转录病毒治疗(ART)。本病例描述了一个新诊断的HIV伴机会性和合并感染患者的管理。
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引用次数: 0
A Mixed-Method Analysis of People’s Perception and Behaviour on Vaccination Program in Online Social Media 在线社交媒体中人们对疫苗接种计划的认知和行为的混合方法分析
Pub Date : 2022-01-01 DOI: 10.31674/mjmr.2022.v6i03.002
S. A. Soelar, Nurakmal Ahmad Mustaffa
Introduction: Social media has been a major source of various parties obtaining misinformation about vaccination programs and it has raised doubts about the vaccine, especially among parents. Vaccine hesitancy was listed as one of the top ten issues that threaten global health by the World Health Organization (WHO) in 2019. Therefore, this study aimed to examine sentiment on vaccines from Facebook pages, focusing on Facebook users’ views on vaccination programs through a mixed-method approach, which is a qualitative and quantitative combination analysis. Methods: This analysis uses all comments posted on Facebook pages downloaded using Facepager software from 01 December 2020 to 31 December 2020. R software is used to clean the comments and performed the sentiment analysis, while Gephi software is used to perform the semantic network analysis. Results: Out of 5,055 comments, the majority of the comments are negative sentiment (49.33%), followed by positive (32.58%) and neutral (18.08%) sentiment. For the negative sentiment, tolak, mati, and cucuk were the most frequent words ever used. For the positive sentiment, terima, setuju, and selamat were the most frequent words ever used. The positive network centered around the word dajjal focused on the word lab and FDA. In contrast, the negative network centered around the word vaksin focused on the word semulajadi and kerajaan. Conclusion: These findings are useful to understand the problem of parents who are skeptical of the vaccination program and also can be a guide for public health to communicate with the public through social media.
导读:社交媒体一直是各方获取有关疫苗接种计划的错误信息的主要来源,它引起了人们对疫苗的怀疑,尤其是在父母中。2019年,世界卫生组织(WHO)将疫苗犹豫列为威胁全球健康的十大问题之一。因此,本研究旨在研究Facebook页面对疫苗的看法,重点关注Facebook用户对疫苗接种计划的看法,通过混合方法,即定性和定量结合分析。方法:本分析使用2020年12月1日至2020年12月31日期间使用Facepager软件下载的Facebook页面上发布的所有评论。使用R软件进行评论清理和情感分析,使用Gephi软件进行语义网络分析。结果:5055条评论中,负面情绪居多(49.33%),其次是正面情绪(32.58%)和中性情绪(18.08%)。对于消极情绪,tolak, mati和cucuk是使用频率最高的单词。在积极情绪方面,“terima”、“setuju”、“selamat”是使用频率最高的词汇。正向网络以dajjal为中心,以lab和FDA为中心。相反,以vaksin为中心的负面网络则集中在semulajadi和kerajaan上。结论:这些发现有助于理解家长对疫苗接种计划持怀疑态度的问题,也可以为公共卫生部门通过社交媒体与公众进行沟通提供指导。
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引用次数: 0
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Malaysian Journal of Medical and Biological Research
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